“In Their Own Voice”—Incorporating Underlying Social Determinants into Aboriginal Health Promotion Programs

Shannen Vallesi, Lisa Wood, Lyn Dimer, Michelle Zada

Research output: Contribution to journalArticle

Abstract

Despite growing acknowledgement of the socially determined nature of health disparities among Aboriginal people, how to respond to this within health promotion programs can be challenging. The legacy of Australia’s assimilation policies have left profound consequences, including social marginalisation, limited educational opportunities, normalisation of premature death, and entrenched trauma. These social determinants, in conjunction with a reluctance to trust authorities, create barriers to accessing healthcare services for the prevention, treatment, and rehabilitation of chronic disease. The Heart Health program is a culturally sensitive cardiac rehabilitation program run at the local Aboriginal Medical Service in Perth, Western Australia that has since moved beyond cardiac education to provide a holistic approach to chronic disease management. A participatory action research framework was used to explore Heart Health participant and service provider perspectives on the barriers, enablers, and critical success factors to program participation and behaviour change. Thematic analysis of interview transcripts was undertaken, and through yarning (Aboriginal storytelling) sessions, many participants made unprompted reference to the impacts of white settlement, discrimination, and the forced fracturing of Aboriginal families, which have been explored in this paper reiterating the need for a social determinants lens to be taken when planning and implementing Aboriginal health promotion programs
Original languageEnglish
Article number1514
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number7
DOIs
Publication statusPublished - 18 Jul 2018

Fingerprint

Health Promotion
Social Marginalization
Chronic Disease
Western Australia
Premature Mortality
Health Services Research
Health
Disease Management
Lenses
Health Services
Rehabilitation
Interviews
Delivery of Health Care
Education
Wounds and Injuries
Therapeutics
Cardiac Rehabilitation

Cite this

@article{1ef881471b6f4671bab1f2fe9463936d,
title = "“In Their Own Voice”—Incorporating Underlying Social Determinants into Aboriginal Health Promotion Programs",
abstract = "Despite growing acknowledgement of the socially determined nature of health disparities among Aboriginal people, how to respond to this within health promotion programs can be challenging. The legacy of Australia’s assimilation policies have left profound consequences, including social marginalisation, limited educational opportunities, normalisation of premature death, and entrenched trauma. These social determinants, in conjunction with a reluctance to trust authorities, create barriers to accessing healthcare services for the prevention, treatment, and rehabilitation of chronic disease. The Heart Health program is a culturally sensitive cardiac rehabilitation program run at the local Aboriginal Medical Service in Perth, Western Australia that has since moved beyond cardiac education to provide a holistic approach to chronic disease management. A participatory action research framework was used to explore Heart Health participant and service provider perspectives on the barriers, enablers, and critical success factors to program participation and behaviour change. Thematic analysis of interview transcripts was undertaken, and through yarning (Aboriginal storytelling) sessions, many participants made unprompted reference to the impacts of white settlement, discrimination, and the forced fracturing of Aboriginal families, which have been explored in this paper reiterating the need for a social determinants lens to be taken when planning and implementing Aboriginal health promotion programs",
keywords = "Aboriginal and Torres Strait Islander, Health Promotion, Social determinants of health, Cardiac rehabilitation, Indigenous, Chronic disease management, Cultural competence, Cultural safety",
author = "Shannen Vallesi and Lisa Wood and Lyn Dimer and Michelle Zada",
year = "2018",
month = "7",
day = "18",
doi = "10.3390/ijerph15071514",
language = "English",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
publisher = "MDPI AG",
number = "7",

}

TY - JOUR

T1 - “In Their Own Voice”—Incorporating Underlying Social Determinants into Aboriginal Health Promotion Programs

AU - Vallesi, Shannen

AU - Wood, Lisa

AU - Dimer, Lyn

AU - Zada, Michelle

PY - 2018/7/18

Y1 - 2018/7/18

N2 - Despite growing acknowledgement of the socially determined nature of health disparities among Aboriginal people, how to respond to this within health promotion programs can be challenging. The legacy of Australia’s assimilation policies have left profound consequences, including social marginalisation, limited educational opportunities, normalisation of premature death, and entrenched trauma. These social determinants, in conjunction with a reluctance to trust authorities, create barriers to accessing healthcare services for the prevention, treatment, and rehabilitation of chronic disease. The Heart Health program is a culturally sensitive cardiac rehabilitation program run at the local Aboriginal Medical Service in Perth, Western Australia that has since moved beyond cardiac education to provide a holistic approach to chronic disease management. A participatory action research framework was used to explore Heart Health participant and service provider perspectives on the barriers, enablers, and critical success factors to program participation and behaviour change. Thematic analysis of interview transcripts was undertaken, and through yarning (Aboriginal storytelling) sessions, many participants made unprompted reference to the impacts of white settlement, discrimination, and the forced fracturing of Aboriginal families, which have been explored in this paper reiterating the need for a social determinants lens to be taken when planning and implementing Aboriginal health promotion programs

AB - Despite growing acknowledgement of the socially determined nature of health disparities among Aboriginal people, how to respond to this within health promotion programs can be challenging. The legacy of Australia’s assimilation policies have left profound consequences, including social marginalisation, limited educational opportunities, normalisation of premature death, and entrenched trauma. These social determinants, in conjunction with a reluctance to trust authorities, create barriers to accessing healthcare services for the prevention, treatment, and rehabilitation of chronic disease. The Heart Health program is a culturally sensitive cardiac rehabilitation program run at the local Aboriginal Medical Service in Perth, Western Australia that has since moved beyond cardiac education to provide a holistic approach to chronic disease management. A participatory action research framework was used to explore Heart Health participant and service provider perspectives on the barriers, enablers, and critical success factors to program participation and behaviour change. Thematic analysis of interview transcripts was undertaken, and through yarning (Aboriginal storytelling) sessions, many participants made unprompted reference to the impacts of white settlement, discrimination, and the forced fracturing of Aboriginal families, which have been explored in this paper reiterating the need for a social determinants lens to be taken when planning and implementing Aboriginal health promotion programs

KW - Aboriginal and Torres Strait Islander

KW - Health Promotion

KW - Social determinants of health

KW - Cardiac rehabilitation

KW - Indigenous

KW - Chronic disease management

KW - Cultural competence

KW - Cultural safety

U2 - 10.3390/ijerph15071514

DO - 10.3390/ijerph15071514

M3 - Article

VL - 15

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 7

M1 - 1514

ER -